# BHARATI D PENUPATRUNI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760928014
- **Authorized official:** BHARATI D PENUPATRUNI (OWNER)
- **Authorized official phone:** (908) 307-5695

## Contact information

- **Practice address:** 4 DRINKING BROOK RD, MONMOUTH JCT, NJ 08852-2800
- **Practice address phone:** (908) 307-5695
- **Mailing address:** 4 DRINKING BROOK RD, MONMOUTH JCT, NJ 08852-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 25MA05220800 | NJ | Yes |

## Other

- **Enumeration date:** 01/10/2017
- **Last updated:** 01/10/2017